| NPI | 1881627925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MS W3294) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS LH0076) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2013-03-26 |